Cat Tracker Participant Questionnaire

Please complete the following questionnaire related to the health, behavior, habits, and movement patterns of your indoor/outdoor house cat. All questions are optional. Owner information is necessary for distributing GPS collars and coordinating data collection.

If you would like to enroll more than one cat in this study, please complete a new questionnaire for each individual cat.

Informed Consent to Participate in Research

All participants in Cat Tracker are first required to read and electronically sign the INFORMED CONSENT FORM for RESEARCH, approved by the NC State Institutional Review Board (#3515) and valid from Sept 22, 2016 – Sept 22, 2017.

Click this link to read and print a copy of the form. It describes the purpose of the study, what will happen if you take part in the study, the risks, benefits, confidentiality polices and procedures, and what to do if you have questions or concerns about the study.

Consent to Participate
I have read and understand the information on the consent form. I have received a copy of this form. I agree to participate in this study with the understanding that I may choose not to participate or to stop participating at any time without penalty or loss of benefits to which I am otherwise entitled.

Check box for your consent to participate
*

check box and add name and date below

I have read and understand the information on the consent form. I have received a copy of this form. I agree to participate in this study with the understanding that I may choose not to participate or to stop participating at any time without penalty or loss of benefits to which I am otherwise entitled.

Type your name
*

I have read and understand the information on the consent form. I have received a copy of this form. I agree to participate in this study with the understanding that I may choose not to participate or to stop participating at any time without penalty or loss of benefits to which I am otherwise entitled.

Date of consent
*MM/DD/YYYY

Cat owner information

Attention residents of Fairfield County, CT, residents of Westchester County, NY and residents of the greater Raleigh-Durham area of NC: You may be eligible to borrow a loaner GPS unit and harness for your cat. We will contact you by email to arrange for the delivery of the unit and collar. Please indicate your preferences below:

Yes, I am a resident of one of the places listed above and would like to borrow a GPS unit and harness from the Cat Tracker team.No, I am not interested in borrowing a GPS unit. I would rather go the DIY-route and buy my own GPS unit and harness.

You are eligible to borrow a GPS unit and harness only if you are a resident of Fairfield County, CT, Westchester County, NY or the greater Raleigh-Durham area of NC.

Phone number
*###-###-####

Email address
*

Preferred method of contact (select one)
*

PhoneEmail

Cat information

Name

Age (years)

Approximate weight (lbs)

Sex

MaleFemale

Breed

If other, please specify

Neutered/Spayed

YesNo

De-clawed

YesNo

If yes, which paws have been de-clawed

In the last month, have you applied flea/tick preventative treatment to your cat?

YesNo

If yes, please specify the brand

In the last month, have you given your cat heartworm preventative medication?

YesNo

If yes, please specify the brand

Is your cat on any medication or have any health condition(s) that you think might affect its habits, movement, or behavior? Please specify.

Has your cat been injured or involved in any fight with other cats/animals in the last year? Please describe.

Does your cat wear a collar when it goes outdoors?

YesNo

Does the collar make noise when the cat is moving (bells, clinking tags, etc.)?

YesNo

Does your cat wear an ID tag or is it implanted with a microchip ID?

ID tagMicrochipBothNeither

What year did you acquire the cat?

How did you come to own your cat?

If other, please specify

How many times have you moved since getting your cat?

Do you have other cats?

YesNo

If yes, how many other cats?

Lifestyle of your other cats

Do you have dogs?

YesNo

If yes, how many dogs?

Lifestyle of your dogs

Do you have any other kinds of pets? Please describe type, number and lifestyle.

Does your cat sleep with you?

YesNo

I feed my cat dry food

YesNo

What do you feed your cat? Please provide the specific brand and type (e.g. Purina One - Indoor Advantage Hairball and Healthy Weight Formula; if your answer is “Whatever’s cheapest.” Please specify the current cat food you are feeding your cat.).

Dry food brand

I feed my cat wet food

YesNo

What do you feed your cat? Please provide the specific brand and type (e.g. Purina One - Indoor Advantage Hairball and Healthy Weight Formula; if your answer is “Whatever’s cheapest.” Please specify the current cat food you are feeding your cat.).

Wet food brand

Do you limit your cat’s food intake?

YesNo

How do you feed your cat?

e.g., portion control feed 2 times per day

Approximately how much food do you give your cat daily?

e.g., number of cups, cans

Does your cat bring home prey items?

YesNo

If yes, approximately how many items per week does it bring home?

Please list the kinds of prey your cat has brought home

How often does your cat go outside?

Please specify (as best you can) the hours when your cat is indoors (time, digital hours) to (time, digital hours)

Please specify (as best you can) the hours when your cat is outdoors (time, digital hours) to (time, digital hours)

Time zone

Where do you think your cat goes when it is outside?

How far do you think your cat walks?

When your cat is outside, does s/he disappear for long periods of time?

YesNo

If yes, please explain

Is there any other information about your cat you would like to share?

Would you be interested in participating in our Isotope Analysis part of the Cat Tracker study in which we test a sample of your cat's hair for Carbon and Nitrogen content in relation to their pet food? (All owner information will be confidential. For more information on the Isotope Analysis part of our study please visit the Isotope Analysis page on our website)

YesNo

For more information visit
http://cats.yourwildlife.org/
participate/isotope-analysis-protocols/)

Upload a photo of your cat!

Please consider uploading a photo of your cat to accompany it's GPS track on the Cat Tracker website. Only your cat's name will be associated with the photo on the website, and no other identifying information (other than the cat's GPS track) will be shared publicly. Uploading your cat's photo is entirely optional.